CHILDREN and the disabled are the winners and paramedics the losers in Treasurer Peter Gutwein’s $1.465 billion health budget.

Mr Gutwein has spent about $65 million more than Labor’s $1.398 billion spend last financial year and has managed to fulfil every election promise made to the health sector, with the Royal Hobart Hospital rebuild the only unanswered question.

Treasury officials have identified $99 million of savings in the forward estimates to 2018 and another $111.3 million to be saved by the dismantling of the three Tasmanian Health Organisations.

The savings will be achieved by cutting consultants,reducing property, travel, advertising and transport costs and the 12-month public sector pay freeze that affects paramedics.

There is no identified wage increase for paramedics over the next four years to account for the 14 per cent wage increase awarded by the Industrial Relations Commission earlier this year.

Mrs Viney said the $9 million community sector funding addressed decreased grants over the years and welcomed the $2 millionfor people on waiting lists for the National Disability Insurance Scheme.

“I can only congratulate the Government,’’ she said.

AMA state president Tim Greenaway welcomed $5.4 million funding for nursing positions and increased funding for elective surgery.

But he was cautious about the Government’s reliance on a White Paper to deliver a significant restructure of health care. “The AMA will need input on this,’’ he said.

Mr Gutwein said that of the $76 million allocated for additional elective surgery over the next four years, $5.3 million had already been allocated for children for and adults who had waited the longest.

The remaining elective surgery money, including an extra $23 million in federal funds, would stay with the Department of Health and Human Services until reform strategies were put in place.

Despite the loss of $1.7 billion in health funds in the Federal Budget, Mr Gutwein said he was confident his Budget would fully offset the impact on the Tasmanian health system.

A question mark remains over the Mersey Community Hospital at Latrobe, with the Federal Government only committing to one year of funding instead of three.

Funding of $40 million will also be allocated in 2017-18 for the transition to the full NDIS.

Another $2 million will be rolled out over four years for people on disability waiting lists who are not part of the NDIS trial. The money translates to 12,000 additional hours of support. There’s also $250,000 over two years for National Disability Services Tasmania to develop a workforce to meet new jobs created under NDIS.